经输尿管镜治疗输尿管结石的临床体会

Clinical experience of treatment of ureteral calculi with ureteroscopy

目的 探讨经输尿管镜治疗输尿管结石的临床疗效。方法 回顾性分析自 2 0 0 0年 1月～ 2 0 0 3年7月采用输尿管镜治疗 91例输尿管结石的临床资料 ,总结治疗经验。结果 91例输尿管结石 ,一次性结石清除率为 87.9% (80 / 91) ,并发症发生率为 6 .6 % (6 / 91) ,主要是输尿管感染及穿孔。结论 输尿管镜结合气压弹道碎石术或取石钳是一种安全、效果确切、损伤小的治疗输尿管结石 ,尤其是下段结石的好方法。

Objective: To evaluate the clinical effect of ureteroscopy in the management of ureteral calculi. Methods: The clinical data of 91 patients with ureteral stones treated with ureteroscopy from January 2000 to July 2003 were analyzed retrospectively. Results:Of 91 cases of ureteral stone, 87.9 %(80/91) stones were evacuated in one treatment session. Complications were observed in 6.6 %(6/91) cases ,mainly urosepsis and perforation. Conclusions:Ureteroscopy combined with the Swiss lithoclast pneumatic lithotriptor or ureteral clip has been a safe, effective and less invasive method in the management of ureteral calculi ,especially the stones located at the low segment of the ureter.